What Is Stone Man Syndrome? A Woman Who Lives With the Condition Explains

Having a disease that slowly turns your muscle and tissue into bone sounds like something straight out of your worst nightmare, but for one 23-year-old woman in Missouri, it's a reality. 

Carli Henrotay can't raise her arms above her head, bend at the waist, or stand on two legs because bone growth has caused her joints to lock. More bone will grow as time goes on, and there's unfortunately no cure. 

When Henrotay was about 5 years old, she fell off a stool and injured her back. But unlike most 5-year-olds, her body wasn't quick to heal itself. She was extremely swollen, and doctors were stumped by her symptoms, according to the Daily Mail.

One doctor, however, had seen a case like this before. He asked to see Henrotay's toes, and his suspicions were quickly confirmed. Her big toes were much shorter than the rest, a tell-tale sign of fibrodysplasia ossificans progressiva (FOP). 

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Only about 800 people worldwide are known to have FOP, according to the Genetic and Rare Diseases Information Center. It's caused by a gene mutation, and symptoms usually become noticeable in early childhood. 

Trauma, such as a fall, invasive medical procedure, or viral illness may trigger episodes of muscle swelling and inflammation. These flareups can last anywhere from several days to months and often result in permanent bone growth in the injured area, which is what happened to Henrotay when she was 5.

"The first thing to go was my back. Over time it has turned into a sheet of bone," she told the Daily Mail. Bone has now grown in many other parts of her body, as well. "My jaw is locked and I have less than two millimeters of opening," she said, "so it makes it harder for me to eat or talk and project my voice." 

Surgery to remove the new bone isn't possible because the trauma would only cause more growth, but Henrotay has hope that there will one day be a treatment for FOP.

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More bone will grow throughout Henrotay's body over time, likely restricting her mobility even further, but her family encourages her to live as full of a life as possible. She recently bought a house with her partner of six years and is looking forward to learning how to live on her own. "I am excited to get in my new home and see where my independence can take me," she said, "but it also is a double-edged sword because I know it will hinder me, as well."

Though Henrotay's condition does limit her, she hasn't let it define her. "I want people to understand that disability isn't the whole part of me even though you can see it," she said. "You need to see more than the wheel chair and just see me as a person before you judge me for the disability."

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I Was Shocked to Learn My Disability Was Being Exploited On a Porn Site

A few months ago, a friend reached out to me and said she found videos from my Instagram on Pornhub. As you can imagine a million questions started racing through my mind, but not the questions you think. You see, I'm a paraplegic and my Instagram is dedicated to inspiring others like me that a new-normal life is possible. So I couldn't fathom how any of that content could be sexualized in any way. But more on that later. First, let me tell you how I got here in the first place.

Learning to Live with a Life-Changing Injury

It was 2016 and we were celebrating my husband's birthday and Thanksgiving with his family. We decided to call it a night at around 10 p.m. and got ready to drive back home despite the forecast warning us about a thunderstorm. I remember my father-in-law begging us to stay the night.

We were close to our home when our car hit a big puddle and hydroplaned. It flipped three times before hitting a tree, finally coming to a halt. Thankfully, my husband and our two dogs were unscathed, but my life had changed forever. The roof of the car had gone into my head compressing my spine. At the hospital, they determined that I had fractured my vertebra at C6, which punctured my spinal cord leaving me paralyzed from the waist down with limited finger function and one working bicep.

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I spent the next month in the hospital and then another month at a rehab facility, but the reality of my situation didn't hit me until I got home. I went from being surrounded by doctors, nurses, family, and friends to feeling totally alone.

A part of me had hoped that life would go back to 'normal' once I got home, but I quickly learned that there was no such thing. Even the simplest of tasks were challenging, if not impossible. I couldn't get on the couch on my own, I couldn't feed myself, I couldn't even go to the bathroom without help.

There were times I felt extremely frustrated with my body and even developed serious body dysmorphia. I would think of myself as just a head instead of one whole entity with limbs and extremities. That's because I couldn't feel the all of me—or at least, all of my physical body—anymore, so those parts of my body no longer fit into my identity.

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These are still things I still struggle with today, but with a lot of patience and time, luckily, I've come to understand that regardless of what I can and can't physically feel, I am still a whole person.

One of the things that really helped me get to that point was using Instagram to connect with other people, including those who share similarities to my experience and new condition. I was quickly able to find a community that was willing to be open and honest about what it's really like to live with a spinal cord injury.

It was through these new virtual friendships that I was able to find peace in knowing that I'm more than just my physical body. Being the best version of myself became my priority, and I slowly learned that my disability didn't need to hold me back from doing what I love.

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Before my accident, I lived a pretty active life. While I can no longer run or exercise like I used to, I love getting outdoors and being in nature. I even went skydiving using a special adaptive strap to keep my legs together and lifted up to my chest. 

I found that people were inspired by the videos I shared on Instagram of me being mobile and learning new things—even if it was simple stuff like getting into bed on my own. I started getting dozens of messages from people every day asking how I became self-sufficient in certain tasks and how I was able to maintain a positive mindset. I appreciated being able to interact with these people; if there was any way I could help someone else in my shoes, I wanted in.

Learning the Shocking Dark Side of My Disability

As with anyone who starts to quickly gain followers on Instagram, I did start receiving messages that I thought were strange. They were mostly from one person who claimed to be paraplegic as well but kept asking me questions he should have known the answer to if he was truly was.

After talking to some of my friends on Instagram, I learned that that person was what they call a 'devotee.'

Don't know what that is? Neither did I. Turns out, a devotee is someone with a devoted fetish. In my case, this guy who kept DM'ing me was aroused by people with disabilities and was trying to trick me into sharing information about my life as a quad for sexual pleasure.

To be clear, I don't think there is anything wrong with having a fetish and most devotees don't trick people into feeding their sexual desires. But this case was obviously different and infuriating. I immediately blocked this person and thought that was the end of it. But I was wrong.

RELATED: This Woman Is Speaking Out After a Photo of Her Went Viral for All the Wrong Reasons

It was a few weeks later when my friend called me to tell me about my videos on Pornhub. I rushed online immediately.

To my surprise, the page featured hundreds of videos of paraplegic women from Instagram. All the videos showed women celebrating physical milestones like getting out of their wheelchair and into their bed on their own. Nothing they were doing was for the purposed of 'porn' or arousal.

Most of these women, myself included, had shared these videos to Instagram to help others struggling with a life-changing injury. None of us had consented for those videos to be used by people to get off. 

While anger and fury were definitely at the forefront of all the emotions I felt—after all, my trauma was being used for someone's pleasure—I couldn't help but feel incredibly embarrassed as well. Some of the videos of me that were being sexualized showed me at some of my lowest points. It made me feel like an object to be used by anyone at their disposal.

Needless to say, I demanded that Pornhub remove my videos, and after a long-fought battle, the site ultimately did.

Becoming an Advocate for People with Disabilities

Learning that my disability was being fetishized made me realize how much work there is to be done to humanize those within the disabled community. That's why I decided to get involved with the Christopher and Dana Reeve Foundation and became a part of their See Us campaign. The mission behind See Us is to highlight the realities of living with paralysis. By collecting stories about real people with disabilities, they are raising awareness to prevent social stigmas that overshadow our accomplishments.

I hope that by sharing my story, we'll get one step closer to a world where people with disabilities are seen as equals. We don't deserve to be fetishized and sexualized without our consent, nor does anyone, for that matter. We deserve to be seen as normal and capable of doing anything and everything they put their minds to. We deserve a world full of adaption that opens the doors for us to have the same opportunities that every other individual is given. That shouldn't include exploitation.

—  As told to Faith Brar

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This article originally appeared on Shape.com

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Ultra-processed food linked to early death

People are eating more ultra-processed food – but what impact is it having on their bodies?

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Study could lead to ‘cognitive therapy in your pocket’

Based on a study by McLean Hospital researchers, individuals with anxiety, depression, and other mental health conditions may soon be able to use a smartphone app to deliver on-demand cognitive bias modification for interpretation (CBM-I), a way to change mental habits without visiting a therapist.

The study, “Translating CBM-I Into Real-World Settings: Augmenting a CBT-Based Psychiatric Hospital Program,” was published in the journal Behavior Therapy. It shows the potential effectiveness of CBM-I when combined with cognitive behavior therapy (CBT) in an acute psychiatric setting. It also points the way for adapting this therapeutic approach for use outside the hospital.

The lead researcher of the study is Courtney Beard, PhD, director of McLean’s Cognition and Affect Research and Education (CARE) Laboratory.

Beard described CBM-I as a “class of interventions designed to shift people’s interpretations of ambiguous situations in either a more positive or more negative way.” She explained that “CBM-I tries to address interpretation bias, a mental habit that is implicated in many mental disorders.”

To do this, individuals undergoing CBM-I treatment can be presented with a series of word association questions that address everyday situations.

For example, the CBM-I task may show a patient a situation about a person yawning during their conversation. Then the patient is asked whether that person is “tired” or “bored.” The individual who answers “tired” is told the response is “correct,” and “bored” is incorrect. Through repetition, this type of CBM-I therapy helps the person reframe or reassess these daily ambiguous situations.

“People face countless interactions like this every day in their lives,” Beard said. “If you have a tendency to jump to a threatening or negative conclusion, it can have a huge impact on how you’re feeling and on what you do and how you react. You can get stuck in a cycle that can maintain anxiety or depression.”

For their study, Beard and her colleagues developed and implemented CBM-I to augment CBT-based treatment in a partial hospital setting. They presented patients with word-sentence associations that encouraged patients to endorse positive interpretations and reject negative interpretations.

Study results showed that CBM-I was practical and acceptable to acute psychiatric patients. Many stated that CBM-I bolstered their primary CBT-based care. The study also found that that the word association exercises were successful in helping reframe potentially negative situations.

Based on these results, Beard and her team are moving forward with a National Institute of Mental Health-backed study to develop a smartphone version of CBM-I.

“With the smartphone app, we can offer CBM-I to many more people at one time,” Beard said. “With the app, they can practice new skills, create healthy mental habits, and stop automatically jumping to negative conclusions. And they can do it on demand.”

Beard stated that the app could be particularly helpful for individuals who have just been discharged from a treatment program. “They can use it during the month transition period after they leave the hospital, which is a risky and challenging time for them,” she said.

Beard sees great promise for app-based CBM-I therapy. “It quickly shows people what their brain is doing,” she explained. “The patient sees hundreds of situations in a short amount of time. So, they see how often they jumped to a negative conclusion, and that can be very powerful. It’s kind of like cognitive therapy in your pocket — but a little different and a lot faster.”

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Materials provided by McLean Hospital. Note: Content may be edited for style and length.

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Among older women, 10,000 steps per day not needed for lower mortality

In the world of step goals and activity trackers, the number 10,000 can sound like a magic one. Many wearable devices that track the number of steps a person takes each day come pre-programmed with a daily goal of 10,000 steps. But while a large body of evidence shows that physical activity is good for a person’s health and longevity, few studies have examined how many steps a day are associated with good health, particularly long-term health outcomes. A new study led by investigators from Brigham and Women’s Hospital sought to address this knowledge gap by examining outcomes over an average of more than four years for older women in the Women’s Health Study who had measured their steps for a full week. The team reports that, among older women, taking as few as 4,400 steps per day was significantly associated with lower risk of death compared to taking 2,700 steps per day. Risk of death continued to decrease with more steps taken but leveled off at around 7,500 steps per day — less than the 10,000 steps default goal in many wearables. The team’s results are presented today at the American College of Sports Medicine Annual Meeting and published simultaneously in JAMA Internal Medicine.

“Taking 10,000 steps a day can sound daunting. But we find that even a modest increase in steps taken is tied to significantly lower mortality in older women,” said I-Min Lee, MBBS, ScD, an epidemiologist in the Division of Preventive Medicine at the Brigham. “Our study adds to a growing understanding of the importance of physical activity for health, clarifies the number of steps related to lower mortality and amplifies the message: Step more — even a little more is helpful.”

According to previous studies, the average number of steps taken by people in the U.S. is between 4,000 and 5,000 per day. The origin of the 10,000-step goal is unclear but may trace back to 1965, when a Japanese company began marketing a pedometer called Manpo-kei, which translates to “10,000 steps meter” in Japanese.

To conduct their study, Lee and colleagues included participants from the Women’s Health Study, a randomized trial originally conducted to evaluate risk of cardiovascular disease and cancer among women taking low-dose aspirin and vitamin E. When the original trial ended, participants were invited to participate in a long-term observational study. For the present study of steps and health, almost 18,000 women were asked to wear an ActiGraph GT3X+ accelerometer device — a research grade wearable — on their hips for seven consecutive days during all waking hours. The team analyzed 16,741 of the women who were compliant with wearing the device; their average age was 72.

Participants were followed for an average of more than four years, during which time 504 women died. Participants in the bottom 25 percent of steps walked (average of 2,700 steps per day) were at greatest risk of death, with 275 women dying. Those who walked modestly more (average of 4,400 per day) were at 41 percent lower risk of death. Risk of death continued to decrease with more steps walked, up to 7,500 steps per day, after which risk leveled off. The team also found that for women who walked the same number of steps per day, the intensity — how fast or slow they walked — was not associated with risk of death.

Due to the observational nature of the study, the authors cannot definitively separate cause from correlation (that is, to differentiate between “do more steps lower mortality?” or “do women in better health step more?”). However, the team did take several measures to try to ensure that the association observed was more likely causal than not, such as excluding women with heart disease, cancer, diabetes and less than excellent or good self-rated health and excluding the first year of follow-up data. The findings also are supported by previous experiments showing physical activity causes beneficial changes in short-term markers of health e.g., blood pressure, insulin/glucose levels, lipid profile, inflammation, and more.

The Women’s Health Study included primarily older, white women, and further studies will be needed in younger and diverse populations to determine if the findings are applicable to other groups, especially those who may, on average, take more steps. Other outcomes — such as quality of life and risk of specific diseases — were not assessed, but will be addressed in future studies.

“Of course, no single study stands alone. But our work continues to make the case for the importance of physical activity,” said Lee. “Clearly, even a modest number of steps was related to lower mortality rate among these older women. We hope these findings provide encouragement for individuals for whom 10,000 steps a day may seem unattainable.”

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Materials provided by Brigham and Women’s Hospital. Note: Content may be edited for style and length.

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A new vision for genomics in animal agriculture

Iowa State University researchers are part of a team that designed a new vision for animal genomics research into the next decade. The blueprint they created could help scientists and farmers meet the needs of a growing global population while improving livestock welfare and production.

The blueprint, published recently in the peer-reviewed journal Frontiers in Genetics, drew on insight from personnel at the U.S. Department of Agriculture, Iowa State and other institutions to identify areas of inquiry where USDA should direct research funds through 2027 concerning animal genomics, or the study of an organism’s full set of DNA. The research priorities outlined in the document have the potential to improve efficiency in animal agriculture, said James Reecy, ISU associate vice president for research and a professor of animal science.

Reecy, who co-authored the new blueprint, said the effort updates an earlier document that set the tone for genomics research during the previous decade. That effort also relied on ISU expertise.

The blueprint was developed during two Maryland workshops that drew leading animal genomics scientists from the U.S. and Canada. Their work product will guide how USDA funds research internally through its Agriculture Research Service, and externally through its National Institute of Food and Agriculture. Iowa State supported the workshops through a NIFA grant.

“In the grand scheme, what the group is advocating for are priorities that will move the livestock industry to meet the protein needs of the world going forward,” Reecy said.

Genomic technology took great strides in the last decade, but the blueprint calls for further progress that accounts for how other factors can work with genomics to improve production, he said. Future research should help livestock producers — particularly in the pork, beef, poultry and aquaculture industries — more accurately predict how their operations will perform based on a range of variables.

“We want to predict how environmental variation and management practices affect production as well,” he said. “We want to know how genotype, production and environment interact with one another. That’s the next step.”

The blueprint predicts genomic technologies will play an increasingly central role in global livestock production.

“Ultimately, animal genome technologies will become part of mainstream agricultural production strategies used to improve animal health, well-being, production efficiency and product quality in ways that meet the demands of growing global populations,” the document concludes.

ISU involvement

Iowa State’s role in guiding animal genomics research dates back to National Research Sponsored Program 8, an effort to coordinate genomic research that led to the first USDA blueprint from 2008 to 2017. Max Rothschild, a Distinguished Professor of animal science and Ensminger Endowed Chair of International Agriculture, was a founding coordinating member of National Research Sponsored Program 8.

ISU scientists from a range of disciplines have turned their attention to transferring some of the innovations made in crop genomics to livestock. The ISU Office of the Vice President for Research launched an initiative to bring together interdisciplinary researchers at Iowa State to address precision livestock farming, which will lean heavily on breakthroughs in animal genomics. Iowa State hosted a precision livestock farming workshop last December that gathered some of the world’s leading experts in the field.

Reecy said ISU scientists are studying innovative sensors and bioinformatics technology that could have new uses in animal agriculture, health and food science. All of this work points toward a new frontier for livestock producers. Advances will allow them to choose production methods that work in concert with animal genomics and environmental factors to improve productivity, animal welfare and reliability while also leading to better products for consumers.

“We want livestock production to become a truly predictive science,” Reecy said.

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Materials provided by Iowa State University. Note: Content may be edited for style and length.

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Health24.com | Ever wondered what the first gym looked like?

To a first-time gym user, a floor full of equipment could seem daunting and intimidating, but at least it doesn’t look like the machines from decades ago, when gyms were a new concept and few and far between. 

Back then, the gym equipment didn’t necessarily cause you to break a sweat – you could choose if you wanted an active or passive workout, which may sound like defeating the purpose, but back then, goals were very different to ours today.

Image credit: iStock

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Health24.com | What is the ‘fainting gene’ and do you think you have it?

Some people are more prone to fainting than others, and the reason might lie in their DNA.

Danish researchers who analysed millions of gene variants in the DNA of 400 000 people have zeroed in on a gene that increases a person’s risk for fainting.

Genetic risk variant

It’s believed that 20% to 30% of people faint at least once in their lifetime, often due to heat, dehydration or anxiety. But now, it appears that your genetic makeup is also a factor.

“A part of chromosome 2 increases the risk of fainting. This means that there is a genetic risk variant that predisposes to fainting,” said researcher Morten Salling Olesen. “In addition, we are the first to show that fainting is genetically determined by linking an increased risk of fainting with an exact position in the genome.”

Olesen is an associate professor of biomedical sciences at the University of Copenhagen and the Laboratory for Molecular Cardiology, Rigshospitalet.

His team analysed genomes of about 400 000 people in the UK Biobank, including more than 9 100 who sought treatment after fainting.

Humans have 23 chromosome pairs, or 46 chromosomes in each cell.

A person can have one, two or no fainting-related gene variants on chromosome 2. Someone with the fainting risk variant on both versions of chromosome 2 has a 30% higher risk of fainting than someone with no variants.

Women more prone to fainting

A similar analysis of genetic data from nearly 55 000 people in Denmark confirmed the UK findings. Researchers also found that women under age 35 faint twice as often as men of the same age. The reasons are unclear.

“If you are a woman and you carry the risk variant on both chromosomes on chromosome pair number 2, you have an approximately three times increased risk of fainting compared with men not carrying the risk variant,” Olesen said in a university news release. “Your gender and a single genetic variant in your genome reveal a substantial part of your risk of fainting.”

Fainting results from a shortage of blood and oxygen to the brain, and there are various types. The gene identified in the study is called ZNF804A, but the type of fainting (syncope) it’s associated with is unknown, researchers said.

“This gene probably affects some of the reflexes that determine whether you faint or not. The question is whether the hereditary component is the same for all types of syncope,” Oleson said. “We believe that the gene we have identified predisposes to vasovagal syncope, which is the most common type of syncope. But we still do not know. First we need to study the gene in detail.”

Image credit: iStock

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Transgender no longer recognised as ‘disorder’ by WHO

The World Health Organization has amended its classification of transgender health issues.

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The #1 Reason People Fail at 30-Day Challenges

Many people fail with 30-day challenges, usually not making it past the first week. And the #1 reason for failure is that they didn’t make a crystal clear commitment to do a specific activity for all 30 days.

Giving your mind a clear enough commitment is a key to success with 30-day challenges. Committing to 5 minutes per day of a specific activity in a specific location at a specific time of day is usually a lot more effective than a vague commitment to “do some exercise” each day.

A clear commitment is binary. Either you did it or you didn’t. There’s little or no wiggle room to give yourself credit for non-compliance.

If you say you’re going to “exercise for 30 days in a row” then does walking count? What about cleaning? Decluttering? Grocery shopping? If you racked up some credits on your Apple Watch for moving a bit, will you count that as your exercise for the day? If you were to ask 10 different people if you’ve successfully completed your challenge for the day, would they always agree? If it’s not certain that every reasonable person would agree, your challenge definition is probably unclear.

If your definition of success is vague, it’s almost a given that you’ll see your standards slip as you go, and within a week or two, your 30-day challenge will have faded completely. Then you’ll beat yourself up for not being disciplined enough.

Lots of people have never completed even one 30-day challenge. And they think it’s due to a lack of discipline. It often is, but not in the way you might think.

When I do a 30-day challenge, most of the discipline happens before Day 1. It’s the mental discipline to clearly decide on the parameters and make a real decision to do the challenge. I get myself to the point of being all-in before I start. The discipline happens in the pre-challenge setup work. This may also include enlisting social support and clearing out any naysaying influences. If I’ve decided to do the challenge, I’ll do it, but my brain needs to understand the nature of the commitment before I feel like I’m all-in. I need to set myself up to succeed in advance. If I don’t frame the challenge properly, I’ll fail at it just like everyone else.

I also understand the long-term importance of nailing these challenges. If I get good at them, I can leverage these challenges to kick off many new explorations, build new skills, create new habits, and more. The long-term payoffs for success are huge. For instance, I’ve been vegan for 22+ years because I started with a challenge to go vegan for just 30 days. Similarly, if you keep stringing yourself along with one failed challenge after another, you’re setting yourself up for decades of disappointment. So if you’re going to do these, stop kicking your ass on Day 10 when you realize you’ve already quit. And pre-kick your ass 10X harder before you even begin Day 1.

When you’re doing a 30-day challenge, honoring your commitment has to be one of the most important parts of your life. If you keep stringing yourself along with failure after failure, you’re hurting your future self.

When people succeed with a 30-day challenge, the success happened mentally and emotionally before Day 1 even started. There’s usually clear evidence that a real commitment has been made. It’s the difference between telling a friend “let’s get together sometime” versus agreeing to meet at a specific time and place and being absolutely certain that you’re going to show up.

Think of it like a legal contract. You want the details of the agreement with yourself to match the overall intention. A contract that merely says “let’s agree to do some stuff this month” is likely to go nowhere. Same goes for a B.S. declaration like “work on my social skills” or “improve my productivity.” If your intention is so vague that I can’t accurately predict what you’ll be doing each day, you probably won’t make it past the first week.

Write down your 30-day commitment before you begin. Then rate it on a 1-10 scale, where a 1 is super vague like “improve my finances,” and a 10 is clear language suitable for a legal contract. In my experience most people won’t score higher than a 3 with this rating. They’ve set themselves up to flake in advance, just the way any flake would: Let’s get together sometime. Sure, let’s do that.

At least 80% of success with a 30-day challenge happens before Day 1. Did you fully commit to a clear and specific activity? Was it defined well enough that a lawyer would approve of the clarity and specificity?

Sometimes I need to play it safe when a challenge can be risky, and I give myself an out if I think I need it. I did that with the water fasting challenge. It didn’t feel safe to 100% commit to many days with no food, so I made a list of potential problems to familiarize myself with the danger signs, and I gave myself room to quit if I perceived that my health was at risk. I had no significant problems though and ended up going for 40 days. A legal contract can have these kinds of exemptions too. So it’s fine to practice risk management when there are practical risks to consider.

When you gain enough experience with these challenges, and you can trust that your internal standards will be high enough, you can sometimes use a more vague definition and get away with it. But even so, it’s still usually better to be specific.

Think of your contract with yourself as the floor (not the ceiling) of what you’re going to do. You can always outperform the specs of a contract. But when you have a rough day, you may sometimes do only the minimum, so make sure that minimum is good enough to satisfy you and get some decent results. You can do more when you’re feeling up to it.

Whenever you attempt to make a change in your life patterns, some part of your brain is going to resist. It expects the old patterns to continue, and it freaks out a bit when the input changes. That’s normal. But you’d better be aware of the existence of this part of yourself, and you need to intelligently compensate for it. A good way to do that is with a clear commitment that’s fully understood. This helps your brain get into sync with the new expectations before you begin. If those expectations are fuzzy, your brain won’t successfully get past this freakout period, and it will use whatever wiggle room you permit it to pull back to your old reality, even if that reality wasn’t serving you well.

When you fail at a 30-day challenge, there’s a reason for it. For most people that reason for failure could have been spotted at the start of Day 1: the lack of a clear and committed decision. They flaked on the challenge before it even started, and there’s little chance of making it past the first week. They didn’t do what it took to succeed in advance.

Actually doing a 30-day challenge tends to be very rewarding, motivating, and fun – if you’ve set it up correctly. The discipline required to complete such a challenge isn’t as much as it seems – again, if you’ve set it up correctly.

My favorite 30-day challenges have been those that introduced me to new modes of living. They expanded my possibility space. They permanently shifted my relationship with reality. Some are still paying dividends years or even decades after I did them.

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